| NPI | 1356415699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA BARRY Pharmacy Manager 206-606-4358 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA CF00056846) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2025-01-09 |